Raw X12 — CIN VR74918Z

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1923*|*00501*649020591*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1923*020591*X*005010X279A1~ST*270*0591*005010X279A1~BHT*0022*13*202608131923000001*20260813*1923~HL*1**20*1~NM1*PR*2*NYSDOH*****PI*EMEDNY~HL*2*1*21*1~NM1*1P*2*MEDICAID PLANNING GROUP CORP*****SV*08046628~PRV*PE*PXC*251B00000X~HL*3*2*22*0~TRN*1*202608131923000001*00000000ND~NM1*IL*1******MI*VR74918Z~EQ*30~DTP*291*D8*20260814~SE*13*0591~GE*1*020591~IEA*1*649020591~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*945817583*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*945817583*X*005010X231A1~ST*999*945817583*005010X231A1~AK1*HS*020591*005010X279A1~AK9*R*1*1*0*6~SE*4*945817583~GE*1*945817583~IEA*1*945817583~